OT-Parentship Effectiveness on Parental Resilience, Self-Determination, and Occupational Performance of Parents and Their Autistic Adolescents: Pragmatic Randomized Controlled Trial
Notice bibliographique
Résumé
IMPORTANCE: Parents of autistic adolescents often experience unique caregiving responsibilities and significant stress, leading to challenges in navigating the complexities of their role and affecting their quality of life. Enhancing parental resilience is crucial for supporting autistic adolescents' needs and fostering positive family outcomes. OBJECTIVE: To investigate the effectiveness of the OT-Parentship intervention in enhancing parental resilience, self-determination, and occupational performance of parents and their autistic adolescents. DESIGN: A two-group, pragmatic randomized controlled trial with pretest-posttest and 3-mo follow-up assessments. SETTING: A research laboratory or virtually via computer at participants' home. PARTICIPANTS: Thirty-six parents (individuals or couples) of autistic adolescents ages 12 to 18 yr were recruited. INTERVENTION: The experimental group (n = 20) received the OT-Parentship intervention, and the control group (n = 16) received a psychoeducational video-based intervention. OUTCOMES AND MEASURES: The study evaluated parental resilience (Autism: Parenting Questionnaire [APQ]), self-determination (Basic Psychological Need Satisfaction in Relationships [BPNSR]), and occupational performance (Canadian Occupational Performance Measure [COPM]). Adolescents' occupational performance was identified by their parents (COPM). RESULTS: The experimental group demonstrated greater gains in outcomes compared with the control group. Significant Group × Time interactions were found for the APQ, BPNSR competence, and parent and adolescent COPM. The experimental group also showed significant improvement in BPNSR autonomy and relatedness over time. These improvements were sustained at follow-up. CONCLUSIONS AND RELEVANCE: OT-Parentship effectively enhanced parental resilience, self-determination, and parent and adolescent occupational performance, highlighting the potential of parent-centered interventions to improve family outcomes. Plain-Language Summary: Raising an adolescent with autism can bring distinct challenges for parents as they manage the specific demands and complexities that frequently arise in their daily lives. This study explored a new occupational therapy program, OT-Parentship, to help parents of autistic adolescents feel more capable and confident. OT-Parentship combines a structured approach based on integrated theoretical models to empower parents to address their needs and support their adolescent's functional independence through a collaborative process. We compared the OT-Parentship program with a program that used educational videos. Results showed that parents who participated in OT-Parentship experienced significant improvements in their parental resilience, sense of self-determination, and both their own occupational performance and that of their adolescent. These positive changes were seen both immediately after the program and three months later. Our findings highlight the importance of supporting parents of autistic adolescents and suggest that OT-Parentship may be a valuable tool for enhancing parenting abilities and supporting autistic adolescents in their everyday lives.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,002 | 0,001 |
| Méta-épidémiologie (sens large) | 0,005 | 0,003 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,002 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,003 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,010 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».